CARLOS WALDO MONTANEZ LOPEZ (O.D.) – Optometrist, NPI 1740449529
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CARLOS WALDO MONTANEZ LOPEZ (O.D.)
Campo Drive, Clinton Township, Macomb County, Michigan, 48038, United States
SUITE 4212
CLINTON TOWNSHIP, MI 480384823
Phone: (787) 364-1134
Type: Mailing
Eureka Road, Southgate, Taylor, Wayne County, Michigan, 48174, United States
TAYLOR, MI 481805215
Phone: (734) 287-0024
Fax: (734) 287-0181
Type: Location
WALMART VISION CENTER
9190 HIGHLAND RD.
WHITE LAKE, MI 48386
Phone: (248) 698-9782
Fax: (248) 698-9785
Type: Location
P.O. BOX 701
MANCHESTER, MI 48158
Phone: (734) 355-4673
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-07-10 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160512000874 | I | Optometry | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48038)
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Reviews
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